Organization Active NPI

Jenova Medical, LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Hartland, WI
National Provider Identifier
1871474304
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
Legal business name
JENOVA MEDICAL, LLC
Practice address
810 Cardinal LN Ste 230
Hartland, WI 53029-2390
Phone
(262) 370-1738
Fax
(262) 361-0689
NPI assigned
Sep 10, 2025
Last updated
Sep 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jennifer N McLeod, ANPN, FNP-BCNPI 1538714324
Title
President
Phone
(262) 424-0180

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X

Addresses

Primary practice location

810 Cardinal LN Ste 230
Hartland, WI 53029-2390

Mailing address

810 Cardinal LN Ste 230
Hartland, WI 53029-2390
Phone (262) 370-1738

Other names 1

  • Jenova Medical, LLc Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1757462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1871474304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 CARDINAL LN STE 230",
            "city": "HARTLAND",
            "state": "WI",
            "postal_code": "530292390",
            "telephone_number": "262-370-1738",
            "fax_number": "262-361-0689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 CARDINAL LN STE 230",
            "city": "HARTLAND",
            "state": "WI",
            "postal_code": "530292390",
            "telephone_number": "262-370-1738",
            "fax_number": "262-361-0689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENOVA MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-10",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A",
        "authorized_official_last_name": "MCLEOD",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-424-0180",
        "authorized_official_credential": "ANPN, FNP-BC"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jenova Medical, LLc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hartland, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.